| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,628 |
1,556 |
$142K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
735 |
687 |
$30K |
| V2020 |
Frames, purchases |
701 |
654 |
$24K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
938 |
868 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
868 |
809 |
$14K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
46 |
42 |
$4K |
| 92015 |
Determination of refractive state |
31 |
31 |
$82.00 |